09남궁진

Size: px

Start display at page:

Download "09남궁진"

윤지 지
2 years ago
Views:

1 Received : Reviewed : Accepted : Five Cases of Nonstructural Scoliosis with Lumbar Herniated Intervertebral Disc Treated by Complex Korean Medicine Treatment with Chuna Manual Therapy: Case Report Jin Namgoong, K.M.D. 1, Bo-Kyung Hwang, K.M.D. 1, Won-Bin Shin, K.M.D. 2, Hyo-Jung Choi, K.M.D. 2 Hye-Kyung Baek, K.M.D. 2, Yun-Ha Lee, K.M.D. 3, Dong-Joo Choi, K.M.D. 3 1 Department of Obstetrics & Gynecology of Korean Medicine, Bucheon Jaseng Korean Medicine Hospital 2 Department of Korean Acupuncture and Moxibustion Medicine, Bucheon Jaseng Korean Medicine Hospital 3 Department of Rehabilitation Medicine of Korean Medicine, Bucheon Jaseng Korean Medicine Hospital Objectives : This case report describes the management of five patients suffering from nonstructural scoliosis with lumbar herniated intervertebral disc all treated with complex Korean medicine treatment. Methods : Five patients were hospitalized and treated with herbal medicine, acupuncture, pharmacopuncture, cupping, and Chuna manual therapy. Patients were assessed for Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-FiveDimensions (EQ-5D), and Cobb s angle. Results : In all patients, NRS, ODI, and Cobb s angle decreased, while the EQ-5D score increased. Conclusions : As seen in these five cases, complex Korean medicine treatment with Chuna manual therapy has effects on the management of nonstructural scoliosis. Key words : Case report, Nonstructural Scoliosis, Lumbar Herniated Intervertebral Disc, Korean Medicine Treatment, Chuna Manual Therapy 121

2 122

3 123

4 124

5 125

6 126

7 Fig. 1. Whole spine standing x-ray(case 1). Fig. 2. Sagittal and axial view. Level L5/S1 (Case 1). 127

8 척추신경추나의학회지 제15권 제1호 Fig. 3. Whole spine standing x-ray(case 2). Fig. 5. Whole spine standing x-ray(case 3). 128 Fig. 4. Sagittal and axial view. Level L5/S1 (Case 2). Fig. 6. Sagittal and axial view. Level L5/S1 (Case 3).

9 추나요법을 적용한 한방복합치료로 호전된 요추 추간판 탈출증으로 인한 비구조적 척추측만증 5례: 증례보고 Fig. 7. Whole spine standing x-ray(case 4). Fig. 8. Sagittal and axial view. Level L4/5(Case 4). Fig. 9. Whole spine standing x-ray(case 5). Fig. 10. Sagittal and axial view. Level L3/4(Case 5). 129

10 Table. The Change of Cobb s Angle Before treatment ( ) After treatment ( ) Case Case Case Case Case Table. The Change of Numeral Rating Scale Score Before treatment 2 week After treatment Case 1(Low back pain) Case 2(Low back pain/left leg pain) 7/6 6/3 3/2 Case 3(Low back pain) Case 4(Low back pain) Case 5(Low back pain/ Right leg pain) 9/7 5/5 3/2 Fig. 11. The change of ODI score. Fig. 12. The change of EQ-5D score. 130

11 Table. The Change of Range of Motion of Lumbar Spine Case 1 ( ) Case 2 ( ) Case 3 ( ) Case 4 ( ) Case 5 ( ) Flexion Unchekable Extension Unchekable Left Lateral Bending Unchekable Right Lateral Bending Unchekable Left Rotation Unchekable Right Rotation Unchekable

12 132

13 133

14 134

04조남훈

04조남훈 Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache